Images of thoracic spinal cord compression due to intraspinal gouty tophus in two patients

Wang, Kun; Zhao, Jinmin; He, Miao; Fowdur, Mitra; Jiang, Tenglong; Shu-ju, Luo

doi:10.1016/j.jbspin.2015.11.014

Cited by 5 publications

(1 citation statement)

References 2 publications

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“…Intraspinal gout tophi can be misdiagnosed as spondylitis, epidural abscess, neoplastic lesion, or degenerative stenosis [16][17][18][19]. The presence of clinical signs of spinal cord involvement in a patient with increased uric acid should suggest looking for intraspinal tophi; however, the definitive diagnosis for intraspinal tophi requires a histopathological examination [15,16].…”

Section: Discussionmentioning

confidence: 99%

Spinal Cord Compression Due to Tophaceous Vertebral Gout: A Case Report

Casas¹,

López-Piloto²,

Paz³

et al. 2022

Cureus

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Gout tophi are deposits of urate crystals in subcutaneous tissues and joints which commonly affect the small joints of the feet and hands, causing painful arthritis. The axial skeleton is considered to be seldom affected by gout arthritis. Here we describe the clinical, MRI, and pathologic findings of a 61-year-old male patient with a previous diagnosis of gout who presented with progressive paraparesis and radicular pain. MRI showed extradural masses compressing the spinal cord and roots at two spinal levels. Two surgical interventions were performed to remove these extradural masses, which were pathologically identified as gout tophi. Pain and paraparesis had clinical improvement after surgery. This report highlights that gout can be a cause of paraparesis.

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